Bahama Bay Club LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BAHAMA BAY CLUB LLC

Doing business as

Bahama Bay Club

Practice address

3441 W 1St St
Sanford, FL 32771-1697

Phone

(321) 363-3633

NPI assigned

Feb 12, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Shenk

Title

Coo

Phone

(386) 216-4141

Specialties & licenses 1

Addresses

Other names 1

• Bahama Bay Club Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1982419313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 W 1ST ST",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711697",
            "telephone_number": "321-363-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHAMA BAY CLUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "SHENK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "386-216-4141"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bahama Bay Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Sanford, FL
• Providers in Sanford, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.